Provider Demographics
NPI:1164670469
Name:COHEN, KAREN (BS OT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:BS OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3002 D LINCOLN DR W
Mailing Address - Street 2:STE D
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-810-2555
Mailing Address - Fax:
Practice Address - Street 1:3002 D LINCOLN DR W
Practice Address - Street 2:STE D
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-810-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00390600171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor